The ADIPS pilot National Diabetes in Pregnancy Audit Project

Simmons, David, Cheung, N. Wah, McIntyre, H. David, Flack, Jeff R., Lagstrom, Janet, Bond, Dianne, Johnson, Elizabeth, Wolmarans, Louise, Wein, Peter and Sinha, Ashim. K. (2007) The ADIPS pilot National Diabetes in Pregnancy Audit Project. Australian & New Zealand Journal of Obstetrics & Gynaecology, 47 3: 198-206. doi:10.1111/j.1479-828X.2007.00718.x

Author Simmons, David
Cheung, N. Wah
McIntyre, H. David
Flack, Jeff R.
Lagstrom, Janet
Bond, Dianne
Johnson, Elizabeth
Wolmarans, Louise
Wein, Peter
Sinha, Ashim. K.
Title The ADIPS pilot National Diabetes in Pregnancy Audit Project
Journal name Australian & New Zealand Journal of Obstetrics & Gynaecology   Check publisher's open access policy
ISSN 0004-8666
Publication date 2007-06
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.2007.00718.x
Volume 47
Issue 3
Start page 198
End page 206
Total pages 9
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Subject 110306 Endocrinology
Abstract Background: Limited resources are available to compare outcomes of pregnancies complicated by diabetes across different centres. Aims: To compare the use of paper, stand alone and networked electronic processes for a sustainable, systematic international audit of diabetes in pregnancy care. Methods: Development of diabetes in pregnancy minimum dataset using nominal group technique, email user survey of difficulties with audit tools and collation of audit data from nine pilot sites across Australia and New Zealand. Results: Seventy-nine defined data items were collected: 33 were for all women, nine for those with gestational diabetes (GDM) and 37 for women with pregestational diabetes. After the pilot, four new fields were requested and 18 fields had queries regarding utility or definition. A range of obstacles hampered the implementation of the audit including Medical Records Committee processes, other medical/non-medical staff not initially involved, temporary staff, multiple clinical records used by different parts of the health service, difficulty obtaining the postnatal test results and time constraints. Implementation of electronic audits in both the networked and the stand-alone settings had additional problems relating to the need to nest within pre-existing systems. Among the 496 women (45 type 1; 43 type 2, 399 GDM) across the nine centres, there were substantial differences in key quality and outcome indicators between sites. Conclusions: We conclude that an international, multicentre audit and benchmarking program is feasible and sustainable, but can be hampered by pre-existing processes, particularly in the initial introduction of electronic methods.
Keyword Obstetrics & Gynecology
diabetes mellitus
quality improvement
Q-Index Code C1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Created: Mon, 18 Feb 2008, 17:25:32 EST